En général, les répondants considèrent que l'évaluation des services de première ligne devrait tenir compte des compétences techniques et communicationnelles des médecins, mais ils accordent moins d'importance aux aspects concernant la gestion de la pratique des soins primaires. ![]() Pour chacune des années, les auteurs ont employé la régression multiple ascendante pour analyser la relation entre les priorités en matière de rendement et les caractéristiques de la population.Įn général, l'ordre d'importance attribuée aux 10 priorités se maintient entre 2001 et 2004, de même que la signification et le lien directionnel dans plusieurs relations entre les priorités et les sous-groupes populationnels déterminés selon le genre, l'âge, la scolarisation, le revenu et la province. L'analyse de la variance a servi à comparer le classement de chacune des priorités au cours des deux années. Les auteurs ont effectué un sondage au sujet de 10 priorités (établies au cours de travaux antérieurs) auprès d'un échantillon de 1 000 Canadiens en 2001 et en 2004. L'objet de cette étude était de déterminer, du point de vue de la population canadienne, les priorités en matière de rendement dans les soins primaires, de vérifier la stabilité de ces priorités au fil du temps et d'étudier leurs variations en fonction de différents sous-groupes de la population. The findings offer a basis for a meaningful, feasible, national public performance reporting strategy for primary healthcare (reform), where measures reflect the 10 performance priorities highly valued by the Canadian population. Respondents generally think that the evaluation of primary care services should be predicated on assessments of physicians' technical skill along with their communication skills, but place less emphasis on practice management aspects of primary care. The overall order of importance ascribed to the 10 performance priorities is sustained from 2001 to 2004, as is the significance and directionality of several relationships between performance priorities and population subgroups distinguished by sex, age, education, income and province. The authors completed a forward stepwise regression analysis to examine the relationships between performance priorities and population characteristics in each year. Analysis of variance was used to compare the ratings of each priority across the two years. The authors administered a survey of 10 priorities (determined through earlier work) to over 1,000 Canadians in 2001, and again in 2004. This paper will help a range of stakeholders better understand the settings of these spaces through scientific evidence.The purposes of this study were to identify the Canadian population's performance priorities for primary care, to ascertain the stability of these priorities over time and to examine variation across priorities among different subgroups of the population. This paper contributes to the coupling of resilience thinking with urban design by proposing an evaluation method that assists design professionals and urban decision-makers in evaluating the performance of existing schemes and new proposals for urban open space. The applicability of the HIS and assessment methodology is examined in a pilot study by assessing two urban parks in Dublin, Ireland. A hierarchical index system (HIS) comprising twenty-six measurable indicators and an associated assessment methodology is proposed to evaluate the performance of urban parks in terms of their contribution to urban resilience and sustainability. ![]() This paper provides a deeper understanding of resilience at the scale of open space within the urban fabric and suggests a framework conceptualising resilience with an emphasis on ecosystem services and spatial configuration. To anticipate future uncertainty and create more sustainable and resilient cities, it is important to assess the performance of urban open space. Conversely, poor planning or design can result in mono-functional open space with potentially negative results for the built environment. Urban open space, when appropriately located, designed and managed, can potentially support underlying ecosystem services and provide multiple social-ecological benefits. The urban environment is at increased risk of unforeseen disturbances associated with climate change and urbanisation.
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